Form ID

Publication date

Location of premises

Certificate

Interior Alterations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Painless Clinic
Address of Owner
55 York Street, Suite 601, Toronto, ON M5J 1R7
Name of Contractor
Vermont Contracting Inc.
Address of Contractor
111 Merton Street, Suite 106, Toronto, ON M4S 3A7
Name of Certifier
SDI Interior Design & Project Coordination
Address of Certifier
170 University Avenue, Suite 1100, Toronto, ON M5H 3B3

Office to which claim for lien must be given to preserve lien

55 York Street, Suite 601, Toronto, ON, M5J 1R7